Jody D Tavalieri, CRNA in Detroit, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Jody D Tavalieri, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. He graduated from nursing school in 1991 and has 33 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Trillium Anesthesia Services, Pllc, Ascension St John Hospital and his current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-4766.

Jody D Tavalieri is licensed to practice in Michigan (license number 4704165288) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477635746.

Contact Information

	Jody D Tavalieri, CRNA
	22101 Moross Rd, Detroit, MI 48236-2148
	(313) 343-4766
	Not Available

Map and Direction

Provider's Profile

Full Name	Jody D Tavalieri
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	33 Years
Location	22101 Moross Rd, Detroit, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jody D Tavalieri graduated from nursing school in 1991

NPI Data:

NPI Number: 1477635746
Provider Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800992512
Enrollment ID: I20070426000019

Medical Identifiers

Medical identifiers for Jody D Tavalieri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477635746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704165288 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trillium Anesthesia Services, Pllc	0941698708	16
Ascension St John Hospital	3173424082	279

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jody D Tavalieri allows following entities to bill medicare on his behalf.

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407

Entity Name	Trillium Anesthesia Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417522848 PECOS PAC ID: 0941698708 Enrollment ID: O20211027001873

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jody D Tavalieri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jody D Tavalieri, CRNA 23256 Robert John St, Saint Clair Shores, MI 48080-2609 Ph: () -	Jody D Tavalieri, CRNA 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4766

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620
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Lisa Zetuna, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Kurt Belen, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10814 Duprey St, Detroit, MI 48224 Phone: 313-410-1988
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600

Jody D Tavalieri, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI